Op. Dr. Bekir Can Gümüşlü
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2 - 2.5 hours
Permanent (Lifetime)
7 Days
Genel Anestezi
Rhinoplasty procedures are fundamentally divided into two surgical approaches: “Open” and “Closed.” In recent years, Closed Rhinoplasty has become the most requested method among patients, as it requires significant surgical expertise and offers a discreet recovery.
Op. Dr. Bekir Can Gümüşlü successfully performs this technique, aiming to preserve the natural structure of the nose and provide results where the “fact that a surgery took place” remains undetectable. As the name suggests, closed rhinoplasty is a method where all procedures are performed entirely through the nostrils without any external incisions. This technique is considered the gold standard for patients with high aesthetic concerns, as it preserves the ligaments and vascular structures supporting the nasal tip while leaving no visible external scars.
The most common point of confusion for our patients is the difference between these two methods. In the open technique, the column of skin between the two nostrils, called the “columella,” is cut to lift the nasal skin completely. In the closed rhinoplasty method, the columella is not cut. All incisions remain within the mucosa inside the nostrils.
This difference is not just about “scarring.” Because the vessels supplying the nose and the lymphatic drainage channels are not severed, blood circulation is not disrupted. Op. Dr. Bekir Can Gümüşlü performs the surgery by preserving ligaments like the “Pitanguy Ligament,” which provide the natural dynamics of the nose. Consequently, facial expressions (smiling, speaking) do not lose their naturalness after surgery, and sensation in the nasal tip returns much faster.
While the closed technique requires high experience and anatomical knowledge due to the limited field of view for the surgeon, the comfort it provides for the patient is invaluable:
No Visible Scars: Since there are no suture marks on the tip of the nose, the patient never has to “prove” they had surgery, even years later.
Less Edema and Swelling: Because the skin is not fully lifted and lymph channels are preserved, post-operative swelling is significantly less compared to the open technique and subsides quickly.
Nasal Tip Flexibility: As the support mechanisms of the nasal tip are preserved, the tip does not become stiff or immobile (like wood) once healing is complete; it maintains its natural softness.
Short Recovery Period: Due to minimal tissue damage, patients return to their social and professional lives much faster.
In the past, there was a misconception that the closed technique could only be applied to simple cases. However, with today’s advanced surgical instruments and techniques, aquiline noses, drooping nasal tips, wide noses, and even noses with breathing problems (deviation) can be successfully operated on using the closed method.
Op. Dr. Bekir Can Gümüşlü analyzes your nasal cartilage structure, skin thickness, and the degree of deformity during a detailed examination. Except for specific cases involving very severe asymmetries or complex revisions, the vast majority of our patients are suitable candidates for closed rhinoplasty. Our goal is not just to correct the shape but to ensure you breathe healthily for a lifetime by protecting the functional structure of the nose.
The process following surgeries performed with the closed technique is quite comfortable. The silicone splints and the external cast placed at the end of the surgery are removed after 1 week. Since the sutures are inside the nose, they dissolve on their own, eliminating the stress of suture removal.
Bruising is minimal thanks to the tissue-preserving approach, though it can vary depending on the patient’s skin type. When the casts are removed at the end of the first week, our patients typically enjoy their new look immediately, even with minor swelling.
From the surgeon’s perspective, it requires greater technical skill and experience due to the limited field of view. However, in experienced hands, such as those of surgeons specialising in this field like Op. Dr. Bekir Can Gümüşlü, there is no difference in terms of duration and difficulty compared to the open technique; on the contrary, it is more advantageous in terms of patient comfort.
Whether the technique is open or closed is not a factor determining nasal tip drooping. Nasal tip drooping is related to insufficient supporting cartilage. In the closed technique, nasal tip drooping is not expected because the internal nasal ligaments are preserved and supported by structural grafts.
Absolutely. During closed rhinoplasty, problems such as septal deviation (bony curvature) and turbinate (nasal mucosa) enlargement are also corrected during the same session, through the same incisions. Both aesthetic and functional improvement is achieved.
In the closed technique, all stitches are inside the nostrils and absorbable sutures are used. Therefore, there is no need to have the stitches removed; they dissolve on their own over time.
Pricing is generally determined based on the difficulty level of the surgery, the choice of hospital, and the scope of the procedures to be performed, rather than the technique used. A detailed examination at our clinic is required for the most accurate pricing information.
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